心肌梗死后用Ⅲ类抗心律失常药的继发性预防

• 作 者: 杨万里
• 出 处: 国外医学(老年医学分册)
• 发表日期: 1994年06期
• 关键词: 抗心律失常药物 心脏猝死 异位搏动 心律紊乱 致心律失常作用 复杂型 洛尔 阻滞剂 第一年 随机试验

心梗后第一年死亡率高达15％。多由室颤所致而猝死。心梗后晚期的心律紊乱特别是复杂型者是室颤和心脏猝死的危险因素。因此为了降低心梗后死亡率。应使用抗心律失常药物治疗心室异位搏动。Ⅰ类抗心律失常药物在心梗后曾广泛应用此

First-year mortality after MI is as high as 15%. More often caused by ventricular fibrillation and sudden death. Late heart rhythm disorders after cardiac infarction, especially complex type, are risk factors for ventricular fibrillation and sudden cardiac death. Therefore, in order to reduce post-MI mortality. Antiarrhythmic drugs should be used to treat ventricular ectopic beats. Class I antiarrhythmic drugs have been widely used after MI